CMS Price Transparency Data

X-ray, chest (single view)

Facility: Perry County Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $242
Cash Discount Price: $235
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Perry County Memorial Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.72x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$235

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $235 (264%)

Insurance Median: $242 (272%)

Cash: $235 (264% of Medicare)

Ins. Median: $242 (272% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$77 - $335	87%
Veterans Administration	$84 - $335	94%
Bc 130	$87 - $268	98%
Group Insurance	$87 - $335	98%
Medicare (plans)	$87	98%
Workers Compensation	$168	189%
Nsa	$197 - $207	222%
Guarantor Liable	$234 - $335	263%
Pcmh Insurnace	$261 - $335	294%
Secondary Insurance	$268	301%
UnitedHealthcare	$268	301%
Operating Engineers	$285	321%
Boilermakers Healthcare	$291	327%
Cigna	$291	327%
Great West	$291 - $335	327%
Sagxxxx	$291	327%
Champus	$335	377%
Ngs American, Inc	$335	377%
Patoka Valley	$335	377%
Southwire	$335	377%
Tricare	$335	377%
Wausau Benefits	$335	377%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $235.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.